81313 prior authorization | Anthem Blue Cross Blue Shield of California
81313, PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (e.g., prostate cancer), is on the Anthem Blue Cross Blue Shield of California PPO prior authorization list. Not a coverage or referral decision.
- Code
- 81313
- Description
- PCA3/KLK3 (prostate cancer antigen 3 [non-protein coding]/kallikrein-related peptidase 3 [prostate specific antigen]) ratio (e.g., prostate cancer)
- Source
- California PPO Prior Authorization List, Pg 45 Original policy
Anthem Blue Cross Blue Shield of California prior authorization